Mental health of the mothers of malnourished children

Mental health of the mothers of malnourished children

Autor DeMiranda, Claudio Torres de Autor UNIFESP Google Scholar
Turecki, Gustavo Autor UNIFESP Google Scholar
Mari, Jair de Jesus Autor UNIFESP Google Scholar
Andreoli, Sergio Baxter Autor UNIFESP Google Scholar
Marcolim, Marco Antonio Autor UNIFESP Google Scholar
Goihman, Samuel Autor UNIFESP Google Scholar
Puccini, Rosana Autor UNIFESP Google Scholar
Strom, B. L. Google Scholar
Berlin, J. A. Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
UNIV PENN
Resumo Background. the objective of this study is to measure the association between protein-energy malnutrition (PEM) in children and their mothers' mental health, in a low income area in the city of Embu, São Paulo, Brazil.Methods. A case-control study was performed, Cases were 60 moderately and severely malnourished children (Gomez criteria) selected from two primary health care units. Controls consisted of 45 eutrophic children attending the same units. the main outcome measure was for the mothers to present a mental health score >6 according with the 'Adult Psychiatric Morbidity Questionnaire' (QMPA), a psychiatric screening instrument.Results. of mothers of children with PEM, 63% and 38% of mothers in the control group were QMPA positive: odds ratio (OR) = 2.8 (95% confidence interval [CI] : 1.2-6.9). of PEM children, 27% had low birthweight (LBW = <2500 g) and 6% of the control group had LBW. interactions were found between: mothers' mental health and number of children (with greater than or equal to 4 children: OR = 20.0 [95% CI :2.1-274.2], with less than or equal to 3 children: OR = 1.6 [95% CI :0.6-4.5], as well as mothers' mental health and maternal age (in women >30: OR = 12.5 [95% CI :2.0-93.4], in women less than or equal to 30: OR = 1.5 [95% CI :0.5-4.4].Conclusions. Mothers of children with PEM showed a higher rate of mental disturbances than mothers of eutrophic children. Unlike LBW, maternal age and number of children interact with mothers' mental health, increasing the association. Management of poor mental health may lead to mothers being better caretakers of their children and this may have a positive impact on PEM.
Palavra-chave case-control
low birthweight
malnutrition
mental health
Idioma Inglês
Data de publicação 1996-02-01
Publicado em International Journal of Epidemiology. Oxford: Oxford Univ Press United Kingdom, v. 25, n. 1, p. 128-133, 1996.
ISSN 0300-5771 (Sherpa/Romeo, fator de impacto)
Publicador Oxford Univ Press United Kingdom
Extensão 128-133
Fonte http://dx.doi.org/10.1093/ije/25.1.128
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:A1996TY24900016
Endereço permanente http://repositorio.unifesp.br/handle/11600/25556

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